Collier N A, Allison D J, Vermess M, Blumgart L H
Aust N Z J Surg. 1984 Apr;54(2):113-8. doi: 10.1111/j.1445-2197.1984.tb06700.x.
Four patients with large right upper quadrant tumour masses of non-hepatic origin are presented. On initial clinical and radiological assessment, all cases were misinterpreted as either having a primary liver tumour or extensive invasion of the liver by an extrinsic tumour. Although angiography and CT scanning are most likely to yield an accurate diagnosis, they can be misleading. Vena cavography also gives important information in determining operability and at operation guides the retroperitoneal dissection. After thorough investigation an aggressive surgical approach to these tumours, with hepatic resection when necessary, provides the best chance of good palliation and possible cure.
本文报告了4例右上腹有非肝源性大肿瘤肿块的患者。在最初的临床和放射学评估中，所有病例均被误诊为原发性肝癌或肝外肿瘤广泛侵犯肝脏。尽管血管造影和CT扫描最有可能得出准确诊断，但也可能产生误导。腔静脉造影在确定可切除性方面也提供重要信息，并在手术中指导腹膜后解剖。经过全面检查后，对这些肿瘤采取积极的手术方法，必要时进行肝切除，为获得良好的姑息治疗和可能的治愈提供了最佳机会。
